Jay Mukker Dpm Inc

LBN: Jay Mukker Dpm Inc
Jay Mukker Dpm Inc is an health care organization with primary practice located at 7210 N Milburn Ave Suite 101, Fresno CA 93722-0022. The organization recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Jay Mukker Dpm Inc can be contacted via phone (559) 224-5101, or through Mukker, Jay via phone (559) 224-5101.

Contact Information

Primary practice address
7210 N Milburn Ave Suite 101 Fresno CA 93722-0022
Phone: (559) 224-5101
Fax: (559) 224-4396
Website:
Map and Directions
Authorized official contact:
Name: Mukker, Jay Doctor of Podiatric Medicine (DPM)
Phone: (559) 224-5101

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4656 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X E46560 California
Suppliers / Customized Equipment 332BC3200X E46560 California
Suppliers / Prosthetic/Orthotic Supplier 335E00000X E46560 California

Profile Details

NPI number 1962722983
LBN Legal business name Jay Mukker Dpm Inc
DBA Doing business as
Authorized official Mukker, Jay Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2010
Last updated Jun 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962722983 NPPES
California MEDICAID 000E46560

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